Effects of Systemic Therapy on Mental Health of Children and Adolescents: A Meta-Analysis

Riedinger, Verena; Pinquart, Martin; Teubert, Daniela

doi:10.1080/15374416.2015.1063427

Cited by 42 publications

(28 citation statements)

References 19 publications

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“…Furthermore, although the majority of family therapy treatments are manualised, only some studies provide detailed descriptions of the intervention, such that it could be replicated in practice. Variation in length of family therapy treatments was noted throughout the literature and is an important observation given meta‐analysis of systemic interventions for child and youth mental health showed longer interventions produced larger effect sizes at follow‐up (Riedinger, Pinquart, & Teubert, ).…”

Section: Discussionmentioning

confidence: 99%

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Berry

Bruce

Oprescu

2019

ANZ J of Family Therapy

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Early intervention in childhood years is an important part of successful therapies for children and adolescents living with or at risk of mental illness. Family therapy acknowledges the role of family relationships, interactions, and family systems in child and youth mental health. To explore the effectiveness and delivery of family therapy in order to inform current family therapy practice in Australian public mental health services, a scoping literature review mapped key concepts of the past 11 years of family therapy research. Current gaps were noted within the following key concepts: family therapy settings and definitions, the influence of family factors on outcomes, transparency of intervention methods, and the training of family therapists. Further research could be undertaken to address current gaps in the literature, specifically: assessment and intervention processes; typical length of time for a series of family sessions; frequency of sessions; and theoretical foundations linked with most effective outcomes, as identified by clinicians, children, and their families. This research would provide a better understanding of best practice and evidence‐based family therapy practices that work for children and their families to inform family therapy practice in Australia and beyond. This scoping literature review identified that there is a noteworthy variation in the way brief family therapy is provided, both in terms of the duration and frequency of sessions, as well as the theoretical underpinnings employed. Further research is warranted to explore different service contexts and brief versions of family therapy delivery and the outcomes for the children and their families.

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Section: Discussionmentioning

confidence: 99%

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Berry

Bruce

Oprescu

2019

ANZ J of Family Therapy

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“…Evidence supporting the effectiveness (Chorpita et al, 2017;Weisz et al, 2012), sustainability (Weisz et al, 2018), and perceived value (Chorpita et al, 2015;Southam-Gerow et al, 2014) of core EBIs in routine practice continues to mount. Still, the potency of the FT approach in naturalistic form remains virtually untested (Riedinger et al, 2017). Is it reasonable to believe that non-manualized interventions governed by core FT elements are a viable alternative to manualized models for treating ABPs in usual care?…”

Section: Discussionmentioning

confidence: 99%

“…There are a handful of "brand name" family therapy models designed to treat adolescent behavior problems (ABPs), with three establishing themselves as efficacious for disruptive behavior, substance use, or both: functional family therapy (FFT), multidimensional family therapy (MDFT), and brief strategic family therapy (BSFT) (Hogue, Henderson, Becker, & Knight, 2018;McCart & Sheidow, 2016). Manualized family therapy models for ABPs have posted an exemplary record of success in comparison to individual and group treatments and, in meta-analyses, produced the largest effect sizes by a healthy margin (Baldwin et al, 2012;Riedinger, Pinquart, & Teubert, 2017;Tanner-Smith, Wilson, & Lipsey, 2013).…”

Section: Carementioning

confidence: 99%

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Core Elements of Family Therapy for Adolescent Behavior Problems: Empirical Distillation of Three Manualized Treatments

Hogue¹,

Bobek²,

Dauber³

et al. 2019

Journal of Clinical Child & Adolescent Psychology

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Objective: Family therapy has the strongest evidence base for treating adolescent conduct and substance use problems, yet there remain substantial barriers to widespread delivery of this approach in community settings. This study aimed to promote the feasibility of implementing family-based interventions in usual care by empirically distilling the core practice elements of three manualized treatments. Method: The study sampled 302 high-fidelity treatment sessions from 196 cases enrolled in one of three manualized family therapy models: Multidimensional Family Therapy (102 sessions/56 cases), Brief Strategic Family Therapy (100 sessions/94 cases), and Functional Family Therapy (100 sessions/46 cases). Adolescents were 57% male; 41% were African American, 31% White Non-Hispanic, 9% Hispanic American, 6% another race/ethnicity, and 13% unknown. The observational fidelity measures of all three models were used to code all 302 sessions. Fidelity ratings were analyzed to derive model-shared treatment techniques via exploratory factor analyses on half the sample; the derived factors were then validated via confirmatory factor analyses supplemented by Bayesian Structural Equation Modeling on the remaining half. Results: Factor analyses distilled four clinically coherent practice elements with strong internal consistency: Interactional Change (6 treatment techniques; Cronbach's α = .93), Relational Reframe (7 techniques; α = .79), Adolescent Engagement (4 techniques; α = .68), and Relational Emphasis (4 techniques; α = .67). Conclusions: The four empirically derived factors represent the core elements of three manualized family therapy models for adolescent behavior problems, setting the foundation of a more sustainable option for delivering evidence-based family interventions in routine practice settings.

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“…This perspective shifts away from a linear consideration of family processes by recognizing the multiple recursive influences that shape family relationships and family functioning, perceiving it as an ongoing process throughout the life cycle [27]. Systemic family therapy has been shown to be an efficacious intervention for families and adolescents with a wide range of mental health problems, such as drug use [19,28,29,30,31,32]), eating disorders [29,30] and both internalizing and externalizing disorders [19,29,30,31,33,34,35,36]. Despite these advances, most of the literature has focused on either systemic family therapy as a whole, without taking into account the different approaches embedded within this framework, or on the effectiveness of more manualized approaches, such as multisystemic family therapy (e.g., [37]) or functional family therapy (e.g., [34,38]).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Structural–Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families

García

Hidalgo

Baena

et al. 2019

IJERPH

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Mental health problems during adolescence constitute a major public health concern today for both families and stakeholders. Accordingly, different family-based interventions have emerged as an effective treatment for adolescents with certain disorders. Specifically, there is evidence of the effectiveness of concrete approaches of systemic family therapy on the symptoms of adolescents and family functioning in general. However, few studies have examined the effectiveness of other relevant approaches, such as structural and strategic family therapy, incorporating parent–child or parental dyadic measurement. The purpose of this study was to test the effectiveness of a structural–strategic family therapy with adolescents involved in mental health services and their families. For this purpose, 41 parents and adolescents who participated in this treatment were interviewed at pre-test and post-test, providing information on adolescent behavior problems, parental sense of competence, parental practices, parenting alliance, and family functioning. Regardless of participants’ gender, adolescents exhibited fewer internalizing and externalizing problems after the treatment. Parents reported higher family cohesion, higher satisfaction and perceived efficacy as a parent, and healthier parental practices (less authoritarian and permissive practices, as well as more authoritative ones). An interaction effect between parenting alliance and gender was found, with more favorable results for the mothers. In conclusion, this paper provides evidence of the usefulness of structural–strategic family therapy for improving family, dyadic, and individual facets in families with adolescents exhibiting mental health problems.

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Effects of Systemic Therapy on Mental Health of Children and Adolescents: A Meta-Analysis

Cited by 42 publications

References 19 publications

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Core Elements of Family Therapy for Adolescent Behavior Problems: Empirical Distillation of Three Manualized Treatments

Effectiveness of Structural–Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families

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